Stroke & Endocarditis
C/f septic emboli
- infarcts in multiple territories in a septic patient, especially when hardware (pace maker leads, prior valvular surgery)
- infarcts in multiple territories in a septic patient, especially when hardware (pace maker leads, prior valvular surgery)
- infarcts, hemorrhages, and leptomeningeal enhancement in different territories
Neuroimaging
- Brain MRI w/ IV contrast should be repeated only if there is c/f abscess (abnormal lesion, not onlt ischemic features); otherwise, okay only bMRI w/o contrast
- CTA H&N < 3mm aneurysm only 30% detection
- Brain MRI w/ IV contrast should be repeated only if there is c/f abscess (abnormal lesion, not onlt ischemic features); otherwise, okay only bMRI w/o contrast
- CTA H&N < 3mm aneurysm only 30% detection
Therapy
- hold antithrombtic and anticogulation 2/2 high risk of bleeding in mycotic aneursyms
DSA
- only done if valvular surgery req 2/2 heparin 25K bolus
- as near as possible of CT surgery
- only done if valvular surgery req 2/2 heparin 25K bolus
- as near as possible of CT surgery
- searching for distal vessels